Mahavir's Rough Report - Fortis

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3.

2 FORTIS HEART AND MULTI-SPECIALITY HOSPITAL

3.2.1 INTRODUCTION:
CLIENT FORTIS HEALTH CARE LIMITED (FHL),
C/O Ranbaxy Laboratories Limited.
DESIGN TEAM Kaplan MC Laughlin Diaz, California.
LEAD ARCHITECT Achal Kataria & Associates, New Delhi.
CONSULTANTS Technical Project Consultants (structural), OTIS (lifts), Milestone
. Consultants (electrical), Dew point, BL Kasha yap & sons (plumbing)
TOTAL PLOT AREA 8.22 acres(33,265sq.mt)
TOTAL BUILT –UP AREA 60,000 sqmt.
YEAR OF COMPLETION 2001
COST OF PROJECT 155 crores
SET BACK 15.25m from all sides
FAR 2
PERMISSIBLE 30%
TOTAL BEDS 376
3.2.2 LOCATION AND APPROACH:
FORTIS is located in Sector 62, Phase VIII, S.A.S. Nagar,
Mohali Just 7 km from Chandigarh, the site is
approached by 24m wide road running around the four
edges of the site. It has PSEB building on one side & the
Punjab Urban Planning & Development Building opposite
to it and a proposed market behind it .
It is 14kms from the airport, 9 kms from bus stand (sec 17)
And 12 kms. from the railway station.
SPECIALITIES :
SUPERSPECIALTY in heart & MULTI- SPECIALTY in
Cardiology, Dental, Plastic surgery, Dermatology, Endocrinology,
Gastroentrology, General Surgery, Gynae, Internal Medicine,
Nephrology, Neurology, Neuro Surgery, Nuclear Medicine,
Oncology, Opthalmology , Orthopaedics
ENT, Pediatrics, Physiotherapy, Psychiatry, Pulmonolgy ,
Urology LOCATION PLAN
3.2.3 SITE ANALYSIS:

SITE PLAN SHOWING SITE MEASUREMENTS, SETBACKS FROM ROAD


• SITE MEASUREMENTS : 1037’6”X 345’ (344m x 110m)(Rectangular plot)
• SITE SETBACKS : 50’
• The linear proportions of the site 3:1 have brought out the linear plan of the hospital building, the two
entrances being on the longer side.

x
SIGNIFICANT FEATURES :

•With site area of (334m x 110m)sq. m.= 36740 sq. m. x x x


and permissible ground coverage of 30%, the complex has been divided into 4 blocks – A,B,C & D.
•A unique feature : The Rehabilitation Medical Inn (30 bedded) for the families and relatives of the
patients

ORIENTATION :
• The building faces north-east, the most favorable orientation.
• Care has been taken to place the curved surface of the building out to that GLARE FREE LIGHT
direction to get the maximum exposure to glare-free light.

32’ WIDE 60’ WIDE


ROAD AT DOUBLE
THE BACK ROAD USED
OF THE TO
HOSPITAL PROVIDE
BOTH THE
ENTRANCES

42’ WIDE ROAD CATERING HEAVY TRAFFIC


A GOOD NETWORK OF RAODS RUNNING ON 3 SIDES CATERING TO THE HEAVY TRAFFIC
AND HASSLE FREE ACCESS TO THE BUILDING.
B) FOR EMERGENCY A) FOR OPD & IPD
3
4
2
I.P.D
.
VISITORS
3 PARKING
O.P.D. 3

STAFF
STAFF PARKING
PARKING 3
1)There are 3 entrances to the site-
A) is the main entrance for OPD & IPD,
B) for emergency and
C) at back for service
2) Main entrance leads to public parking (120 cars, 60 scooters) on the left.
3) road runs along periphery of the site.
4)Separate parking for emergency.

ZONING(SITE LEVEL):
Divided into 5 zones
• The first one: The most chaotic being public area comprising of entry/exit and parking.
• The second: The Rehabilitation building which has less traffic.
• The third: The Main Hospital Building approached by patients, their visitors, the staff and doctors.
• The Service dock at the back & basement parking form the fourth zone.
• Last the beautiful landscaping spread all over the site.

P2 Z1
Z3 Z5 P1

Z4 Z2

A) EMERGENCY B) I.P.D D) O.P.D


3.2.4 PARKING :
Separate parking's( 4 no.) on the site catering to specific users :
• Paid public parking on the immediate left ( 120 cars & 50 scooters ) : P1
• Parking for ambulance right next to the emergency entrance/exit: P2
• Separate staff parking's: P3
• Basement car park for doctors, high officials etc. : P4

Staff parking of 30 Ambulance parking near the


Parking for visitors- 60
cars, 100 scooters emergency gate
scooters

CIRCULATION : LEGEND
TRAFFIC FLOW-OPD
• All the segregations follow a defined & specified
TRAFFIC FLOW;IPD
path leading to their respective destinations.
TRAFFIC FLOE;PUBLIC
•The ambulance entry leads right up to the main TRAFFIC FLOW-
emergency entrance via the shortest possible route & EMERGENCY
further leads to the ambulance parking. TRAFFIC FLOW-STAFF

P2

P1

P3

LANDSCAPING:

• Landscaping has been paid special attention here at FORTIS, Mohali using it as an element of beauty &
at the same time to rejuvenate the spirit of the patients.
• A stepped landscaped courtyard between the two buildings of the hospital enabling the patients to look
down on the greenery, not making them feel sick seems to be on the pattern of Mughal gardens.
•Shapes like circular & other curvilinear forms : Thus providing harmony & unity at site level.
•Road edges marked with flowers and specific landscaped areas earmarked by flower pots.
•A critical balance between the ecological & artificial planting has been achieved.
LANDSCAPING AT THE FLOWER POTS ALONG CURVILINEAR FORMS
ENTRANCE THE ROAD

STEPPED
LANDSCAPED
3.2.5 SITE SURROUNDINGS: COURTYARD

HT room(11kv) near the Nescafe area with


Emergency entry to the
main entrance gate beautiful
site for emergency
Ambulance parking near the cases landscaping around
emergency gate it.

Sewerage Staff parking of


treatment plant 30 cars, 100 scooters
Truck docks area in Fuel and gas supply to Parking for visitors
basement the whole hospital - 60 scooters
3.2.6 CIRCULATION:
HORIZONTAL CIRCULATION – DOUBLE SPILINE PLAN

DOUBLY LOADED
MAIN SPINAL
CORRIDOR
CORRIDOR

SINGELY LOADED
CORRIDOR

•Main spinal cord of the hospital : 2.45m wide.


• It bifurcates to form a doubly loaded curved corridor (2.45m wide) in the blocks A & B.
• Another 2.45m wide singly loaded corridor runs throughout the length of blocks C& D along a
landscaped courtyard and consultants room.
•Basically the inter-departmental circulation is being governed by 2.45m wide corridors & the
intra-departmental by 1.8m wide corridors.
• Swinging doors have been placed at regular intervals in the corridors to provide a defined path to
user zones and at the same time to provide privacy to the various departments

Doubly loaded Singly loaded corridor CURVED CORRIDOR


corridor with view of
courtyard
VERTICAL CIRCULATION:

It can be divided into 3 components :


STAIRCASES :
Fire-escape - 4
Public -3
Rehab -1
LIFTS :
Public - 6
Bed-lifts – 2
Service - 4
Rehab - 1
RAMP - 1
DOUBLE & SINGLE ROOMS

THIRD FLOOR DINING HALLS & RECREATION ROOM


OXYGEN & VACCUM
LIBRARY

TERRACE

SECOND FLOOR
ICUS
CARDIAC OPERATION THEATRES

CATH LABS

FIRST FLOOR
DOUBLE & SINGLE ROOMS
GENERAL OPERATION THEATRES

CONSULTATION ROOMS

EMERGENCY

GROUND FLOOR IPD

BLOOD BANK
DIAGNOSTIC WING
KITCHEN

OPD
BASEMENT PARKING

LAUNDRY & CSSD


SERVICES

•One CAGE-LIFT in kitchen for the transportation of material from basement stores to kitchen at the GF,
two DUMB WAITER lifts connected from CSSD to Day care OT and Cardiac OT at 1st and 2nd floor
respectively.
•Each block has its own staircase.
• Most of the staircases are on external walls having natural light and ventilation.
• There is a ramp ( 1:7 slope, 6m wide) going down to the service dock for loading / unloading of material
from trucks & the staff parking in basement.

LIFTS LOBBY 2 FIRE ESCAPE RAMP TO BASEMENT


ZONING(BLOCK LEVEL):
The main hospital building has been divided into 4 blocks:
BLOCK A : Emergency area, with separate gate and entrance.
BLOCK B : Inpatient Administration with traffic restricted to patients admitted & their
visitors
BLOCK C : Diagnostics and Labs
BLOCK D : OPD & Rehabilitation centre, closest to
parking as OPD has maximum public traffic.
There are 4 entrances to the main hospital building :
OPD, IPD, Emergency, Services

BLOCK-A BLOC
K-B

BLOCK-C BLOCK-D

BLOCK PLAN
3.2.7 GROUND FLOOR PLAN: Level. = + 0.75m

A) EMERGENCY

B) IPD ENTRANCE

C) OPD
ENTRANCE

DIAGNOSTICS

Sufficient and spacious 2450 mm wide corridor. Total 8 reception Facility of bank and
waiting space with Sitting area for OPD is counters were provided ATM is provided
sufficient natural light interrupting the movement in OPD area to divide within hospital
the traffic

Loading/unloading

Landscaping between two blocks help to create a healing


environment for patients
Block A (EMERGENY BLOCK) :
This block is basically the emergency area.
MERITS:
• observation rooms for cardiac & trauma patients
• A special trolley bay & wheel chair parking in the vestibule for
immediate action.
• Provision of public toilets.
• Minimum possible distance to the patient lift lobby.
• It has a cardiologist consultant room and a pace maker room.
• The radiology department at minimum distance from the
emergency area

Service
lift

Way to
radiology

Patient
movement

Pictures showing emergency drop-off


Block B (IPD) :

 It has the inpatient department with the necessary facilities.


 It consists of a reception area, a billing/registration counter,
a waiting area, a business center, some offices, a pharmacy
& public toilets and a blood bank.
 In addition to all this, the block consists of various facilities like
a cafeteria (Café Ritazza), a florist, book store, bank & a prayer
room.

Patient movement

BOOK STORE CAFÉ (RITAZZA) GENTS PUBLIC TOI.

Function Area (sq.m)

OPD AREA 2056

IPD AREA 2457

EMERGENCY 1753
AREA

DIAGNOSTIC 2471
IPD WAITING RECEPTION IPD AREA
Block C (DIAGNOSTICS) :

The diagnostic wing consists of various labs and the radiology


department. with separate waiting areas, toilets & change
rooms.
Kitchen area is also at extreme corner of block with its storage
in basement.
MERIT : Centrally placed for DIAGNOSTICS AN O.P.D.

KITCHEN

DIAGNOSTIC WING

Block D (OPD) : DN. UP

2450 WIDE
CORRIDOR
CUT OUT ABOVE
OPD ENTRY
ELE/TEL/DATA

LVL+0.75M OPD LOBBY


AHU
RECEPTION
REGISTRATION
BILING
CASHERING
TOI. TOI.
TROLLEY
DR'S BACK GENTS WH CHAIR
FIRE WAITING
LIFT LOBBY LADIES TOI.
CU DU DUTY MANAGER'S OFFICE COMMAMD OFFICE
TOI. TOI.
RM. TOI. RECP.

2450 WIDE REHABILATION THER


CORRIDOR ALL PARTITION
IN DRY WALL

TOI. THERAPY COUNSEL COUNSEL THER


EXAM INJEC
EXAM EXAM EXAM RM. EXAM CH.
THERAPY

EXAM.
CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. CONS RM. WAX BOX TH.
HYDRO
THERAPY

MERITS:
Staircase
The circulation core is easily visible
Large O.P.D Lobby or waiting area .
Waiting areas are provided in the form of
clusters.

•It consists of the main OPD area with


OPD reception & waiting the Rehabilitation Centre. gymnasium
• It has the main reception with
enquiry counter.
• Various consultant rooms(4-6) with
examination rooms, inspection rooms
3.2.8 FIRST FLOOR PLAN: Level. = + 4.65m

SINGLR ROOM(13)
SINGLE ROOM(14)

DOUBLE ROOM(9) DOUBLE ROOM(11)


WAITING

CONSULTANT
O.T.
THEATRE
Block A & B :

 It basically consists of single rooms on one side &


double rooms on the other side with centrally
placed nursing stations.
 Single seaters – size 3.415m x 4.5m. Placement of
Single rooms Consultation rooms bed is such that the patient gets maximum lighting.

SINGLE ROOM (13) SINGLE ROOM (14)

SINGLE SINGLE FAMILY FAMILY SINGLE SINGLE SINGLE


SINGLE SINGLE ROOM ROOM ROOM DN ROOM ROOM ROOM SINGLE
SINGLE ROOM ROOM UP ROOM SINGLE
ROOM
SINGLE ROOM ROOM SINGLE
SINGLE ROOM ROOM SINGLE
SINGLE ROOM ROOM SINGLE
SINGLE ROOM 2450 WIDE ROOM SINGLE
SINGLE ROOM CORRIDOR ROOM SINGLE
SINGLE ROOM LADIES GENTS
ELE / TEL/ DATA

ELE/TEL/DATA

SLUICE TOI. TOI. SLUICE ROOM SINGLE


SINGLE ROOM DU
DU ROOM SINGLE
SINGLE ROOM NURSE'S MSKP MSKP NURSE'S
DUTY DUTY ROOM SINGLE
ROOM PANTRY NURSE'S PANTRY
STORE NURSE'S STORE
STATION CH. TOI. FAMILY TOI. CH. STATION
ROOM SINGLE
PATIENT'S CU NURSE'S DOCTOR'S DOCTOR'S AHU ROOM AHU DOCTOR'S
DOCTOR'S NURSE'S CU PATIENT'S ROOM
NURSE'S LOUNGE LOUNGE
STATION LOUNGE INCHARGE DUTY TOI. TOI. DUTY INCHARGE LOUNGE
TOI. TOI. NURSE'S
UP STATION
2450 WIDE
DN.
LVL +4.65M 2450 WIDE
CORRIDOR CORRIDOR LIFT LOBBY LVL +4.65M
(FOR BEDS) UP
DN

DOUBLE DOUBLE DOUBLE DOUBLE SINGLE DOUBLE DOUBLE DOUBLE


DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM ROOM ROOM ROOM ROOM ROOM
ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM

LIFT LOBBY

DOUBLE ROOM (9)


(FOR SERVICE)
DOUBLE ROOM (11)
CORRIDOR
2450 WIDE

TOI.

SINGLE ROOM (13) TOI.


• Double seaters – size 3.415m x 6.0m. SINGLEIt is divided
ROOM (14)
into two units with low ht. partitions . Distance
SINGLE SINGLE FAMILY
between two beds
FAMILY
=SINGLE1.5m
SINGLE SINGLE
SINGLE SINGLE ROOM ROOM
SINGLE ROOM ROOM
SINGLE ROOM
• Double
ROOM DN UP
deluxeROOMtypeROOM– size is double
ROOM to that of
ROOM ROOM SINGLE SINGLE
ROOM SINGLE
SINGLE ROOM SINGLE
SINGLE
SINGLE ROOM
ROOM
2450 WIDE
double seater. One toilet, no partition, 2ROOMbeds ROOM for
SINGLE
ROOM SINGLE
SINGLE ROOM
SINGLE ROOM
CORRIDOR
patients
LADIES & 2 for accomplices. GENTS
ROOM S
ELE / TEL/ DATA

ELE/TEL/DATA

SINGLE ROOM SLUICE TOI. TOI. DU


SLUICE
DU
SINGLE ROOM NURSE'S MSKP MSKP NURSE'S
DUTY DUTY
ROOM PANTRY NURSE'S PANTRY
STORE NURSE'S STORE
STATION CH. TOI. FAMILY TOI. CH. STATION
NURSE'S
PATIENT'S CU NURSE'S DOCTOR'S DOCTOR'S AHU ROOM AHU DOCTOR'S
LOUNGE
DOCTOR'S NURSE'S CU PATIENT'S
LOUNGE
STATION LOUNGE INCHARGE DUTY LOUNGE
TOI. TOI. DUTY INCHARGE
TOI. TOI. NURSE
UP STATIO
2450 WIDE
DN.
LVL +4.65M 2450 WIDE
CORRIDOR CORRIDOR MERIT : Provision of family rooms
LIFT LOBBY LVL and
+4.65Mpatient
(FOR BEDS)
lounge.
DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE SINGLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBL
ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM DEMERIT: NoROOM visitor
ROOM waiting
ROOM ROOM lobby
ROOM or room.
ROOM ROOM ROOM ROOM

LIFT LOBBY

DOUBLE ROOM (9)


(FOR SERVICE)
DOUBLE ROOM (11)
Block C (O.T. COMPLEX) :
• This block also contains the non-invasive Cardiac Labs having
E.C.G. (electrocardiography), TMT rooms & Color Doppler rooms
with their waiting areas.
• This part basically consists of O.T.s for general surgeries
including their pre-operative and post-operative wards with
conveniently located nursing stations.
Sterile corridor having
restricted entry.

Doctors and staff changing


Doctor movement
room with attached toilets
Patient movement
Block D CARDIAC OPD :
•Consist the Cardiac OPD, specialty clinics & health
maintenance clinic with their consultant rooms &
waiting areas.
• Consists of various Labs UP DN

2450 WIDE
CORRIDOR DOUBLE HEIGHT
ELE/TEL/DATA

DN

AHU UP
LVL +4.65M CARDIAC OPD
STORE NEUROLOGY
SAMPLE
GENTS
PULMONOLOGY COLL.
LAB LADIES TOI.
TOI. RECEPTION TOI. TOI. WAITING
TOI. DR'S TOI.
TOI. WAITING AMBULATORY AMBULATORY DU CU DUTY
TOI. THERAPY THERAPY LAB PROCUDURE
RM. RM.
2450 WIDE 2450 WIDE PANTRY
CORRIDOR CORRIDOR
CDS
1. EXAM. EXAM. INJEC EXAM. INJEC EXAM. INJEC EXAM. INJEC EXAM. INJEC EXAM. INJEC EXAM.
RM. RM. RM. RM. RM. RM.
2.
3. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM. CONS. RM.
CONSULTANT RM
Function Area (sq.m)
Only referred patients arrive in cardiac OPD,
hence filtering the out patients inflow. OT AREA 2267
two consultant rooms sharing one common
OPD AREA 1965
examination and one injection room and sub
waiting space. IPD WARD AREA 3383
3.2.9 SECOND FLOOR PLAN: Level. = + 8.55m
Both these blocks have ICUs), with separate family ICU wards

Block A & B ICU WARD

ICU WARD FAMILY


WARD

MERITS:
•Nursing stations, toilets
& doctor’s duty rooms
centrally placed.
•Separate change rooms
& lockers for gents, ladies
& staff.
• Four isolated rooms
with attached toilets
ICU with curtain provided
partitions Nurse stations
Lift lobby

BLOCK D
It basically has the invasive cardiac lab including 3 Cath. Labs with separate recovery areas

CATH LAB
DN. UP

2450 WIDE
CORRIDOR

CH. CH.
LVL +8.55M STORE
ELE/TEL/DATA

RM. RM.
DR'S CONF.
LOUNGE
RM. NURSE'S
AHU CATH LAB CU STATION

UPS CU SCRUB TECH. TOI. TOI.


WARDS
ENTRANCE
RM. LOBBY

LVL +8.55M PANTRY TROLLEY


DU

CONTROL CATHETER CATH PRE.OP BEDS


CATH ROOM STORE INCHARGE
CATH
SWING LAB SWING LAB CATH RECOVERY
TECHNICAL PRE.OP BEDS
BEDS
OFFICE OFFICE PRE.OP BEDS
ROOM

EQUIP.RM.

•. MERITS: •DEMERITS :
•Separate cath wards and recovery beds. •No scope for future expansion
•Cathether store •Patient lifts are far
•Provision of cath swing lab.
Block C: (OT complex )

• It comprises of the Cardiac OTs.


• The OT complex basically has 3 zones :-
• Outer Zone : Consisting of the entry for doctors, staff & patient.
• Intermediate zone : Comprising of the storage areas, change rooms, nurse’s room & doctor’s
lounge.
• Innermost zone : OTs, Scrub area & patient holding areas (Pre & Post operative room) having
highest level of sterilization.
• Also it has a storage room for sterilized equipment's & linen, essential drugs, blood supply & X-ray
machine.
• There are 6 OTs ( 9875mm x 9875mm each) arranged around a common sterilized area.
• Dumbwaiters connect the OT complex to CSSD for direct supply of sterilized equipment's.

Entrance for the Decontamination room of


patient from the instruments/disposal
ICU or from provided with two
service core. dumbwaiters.
CHIEF
ANATHESIATIST
CHIEF
CARDIOLOGIST
TOI. PATIENT STAFF + DOCTORS USED EQUIPMENTS
TOI.
2450 WIDE 2450 WIDE
CORRIDOR LVL +8.55M CORRIDOR
FHC-6
UP
ELE/TEL/DATA

1800 WIDE CORRIDOR

DN. TROLLEY
DR'S
DARK
RM. PREP. STERILE OPERATION
DECONTAMINATION
OT
CONTROL
WORKSHOP SCRUB
TROLLEY
STORAGE
SCRUB
ROOM-6
MOBILE PREP.
CARM FAM
DOCTORS' ANAESTHESIST
PRE OP OPERATION
TOI. CH.RM. BEDS ROOM-1
ANAESTHESIA SENTRALISED
PROFUSION STERILE CORE PROFUSION
TOI. NURSES' TROLLEY ROOM
CH.RM.
SLUICE
RM. CU BAY
ROOM

STAFF
TOI.
CH.RM.

POST OP
OPERATION OPERATION OPERATION
TOI. BEDS OPERATION
WARD BOY'S
ROOM-3 ROOM-4 ROOM-5
REST ROOM
ROOM-2 SCRUB SCRUB

1800 WIDE CORRIDOR

Post-operational beds(6 in 2 anesthesia room


no.) with nurse station for the patients.
MERITS
1) ICU linked with cardiac OT’s , which are on same floor.
2) centralized sterilization core serving all the 6 OT’s
3) dirty corridor provided

View of cardiac OT
3.2.10 THIRD FLOOR PLAN:
SINGLE
ROOM
SINGLE
ROOM

SINGLE SINGLE FAMILY FAMILY SINGLE SINGLE


SINGLE SINGLE

Level. = + 12.45m
ROOM ROOM ROOM ROOM ROOM ROOM
SINGLE ROOM ROOM SINGLE
SINGLE SINGLE
ROOM ROOM
SINGLE ROOM ROOM SINGLE
SINGLE ROOM ROOM
2450 WIDE SINGLE
SINGLE ROOM
CORRIDOR ROOM SINGLE

Block A & B:
SINGLE ROOM LADIES GENT'S ROOM

EL E/TEL /DAT A
EL E/T EL /DATA
ROOM TOI. TOI. SINGLE
SINGLE NURSE'S DU DU ROOM
ROOM DUTY

S TATION
NURSE'S
WARD
STORE PA NTRY

LOBB Y
PAN TR Y STO RE
TOI. TOI.
DR'S CH CH. DR'S
2450 WIDE
NURSE'S
PATI ENT'S
LOUNGE
CU NURSE 'S
INCHARGE
DOCT OR'S
DUTY
LOUNGE
AHU AHU LOUNGE NURSE' S
INCHARGE
CU PA TIENT'S
LOUNGE
S TATION
CORRIDOR TOI. TOI. NURSE'S
UP STATION
DN. 2 450 WIDE
CORRIDOR
LVL+12.45M LIFT LOBBY
LVL+12.45M
UP
(FOR BEDS) DN
DOUBLE
DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE GENERAL DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM DOUBLE
ROOM ROOM ROOM ROOM ROOM ROOM ROOM WARDS ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM WARD

L IFT LOBBY-3 DOUBLE ROOMS


DOUBLE (FOR SER VICE)

ROOM

LVL+12.45M
OXYGEN&VACCUM OFFICES
TOI.

LIBRARY
STAFF RECREATION RM.

 It is similar to the First floor level.


DN. UP
TOI.

2450 WIDE RECEPTIO N


TOI. TOI.
CORRIDOR FUTURE LIBRARIAN
UP
EXPA NS ION PER ITONIAL BI-C ARB O NATE OFFICE SECY OFFICE OFFICE OFFICE
DIAL YSIS D IALY SIS
UP

ELE/T EL /DAT A
ELE/T EL/DAT A
WA ITING GENTS
DN. CH.

TOI.
LIBRARY TOI.
AHU DN
2450 WIDE
CORRIDOR
LVL+12.45M
AHU LADIES JA N

CORRIDOR
DINING RM

1822 WIDE
DW DW TOI. MEETING WAITING STORE
PANTRY WASH DRS'
CHAMBER
SUPPORT I SOLATION ISOLATION
WASH
FILTER LVL+12.45M WAITING ROOM ROOM LADIES GENT'S
RM. RM. STORE SERVER TOI. TOI.
OPEN
MEETING MEETING
TERRACE ROOM ROOM PANTRY
OFFICES

DINING RM LVL+12.45M STAFF


EDP STAFF ADMN
NURSES'S DOCTOR'S
SENIOR STAFF STAFF
DINING TRAINING TRAINING DOCU. BOARD
SYNDICATE SYNDICATE
ROOM TRAINING LT ROOM ROOM HEAD HEAD HEAD HEAD HEAD HEAD
ROOM
HEAD HEAD PR MARK. FINANCE ADMN. LEGAL ADMN.

 These blocks have single and double rooms.


DINING RM TRAINING RMS. MEETING &
BOARD RM

7
6
5

3 SINGLE
2
ROOMS

1
SINGLE SINGLE FAMILY
SINGLE
SINGLE ROOM ROOM ROOM
SINGLE ROOM
ROOM
SINGLE ROOM
SINGLE ROOM
2450 WIDE
SINGLE ROOM CORRIDOR
SINGLE ROOM LA DIES

EL E/TEL/DA TA
ROOM TOI.
SINGLE NURSE'S DU

NURSE'S STATION
ROOM STORE PA NTRY DUTY

DR'S CH
B TOI. TOI.

2450 WIDE
NURSE'S
PATIENT'S
LOUNGE
CU NURSE'S
INCHA RGE
DOCTOR'S
DUTY
LOUNGE
AHU
Doubly loaded corridor
STATION
C CORRIDOR TOI.
UP
DN. 2450 WIDE
CORRIDOR LIFT LOBBY
(FOR BEDS)
D DOUBLE
DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM
ROOM ROOM ROOM ROOM ROOM ROOM ROOM

DOUBLE BLOCK A
ROOMS
0.8 1.8 2.8 3.8 4.8 5.8

Double deluxe type

8 9 10

SINGLE
7 11
12
13

ROOMS 14

15

16

FAMILY
ROOM DN. UP.
FAMILY
ROOM
SINGLE
ROOM
SINGLE
ROOM
SINGLE
ROOM SINGLE
17
Nurse station
ROOM SINGLE
18
ROOM SINGLE
ROOM
SINGLE
ROOM SINGLE
LADIES GENT'S
ELE/TEL/DATA

ROOM
TOI. TOI. SINGLE
DU ROOM
STATION
NURSE'S

LOBBY CH. DR'S


PANTRY
STORE WARD
AHU AHU LOUNGE NURSE'S CU PATIENT'S
INCHARGE LOUNGE
TOI. NURSE'S
STATION

LIFT LOBBY UP
(FOR BEDS) DN

GENERAL WARDS DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE DOUBLE
ROOM ROOM ROOM ROOM ROOM ROOM ROOM ROOM WARD

LIFT LOBBY-3
(FOR SERVICE)
12.1 13.1 14.1 15.1 16.1 17.1 18.1

5.8
F
DOUBLE ROOMS
TOI.
STAFF RECREATION RM.
BLOCK B
C
TOI.
H

Double room
Block C:
It is composed of a Dining Hall ( Café ), terrace garden & a dialysis unit on one
side & a nursing school with 2 lecture halls & a conference room etc.
OXYGEN&VACCUM LIBRARY
C
TOI.
H
RECEPTION
2450 WIDE
CORRIDOR FUTURE LIBRARIAN
FHC-6 EXPANSION PERITONIAL BI-CARBONATE
UP LADIES GENTS DIALYSIS DIALYSIS
ELE/TEL/DATA

WASH TOI. GENTS


TOI. WAITING
DN. CH.

TOI.
LIBRARY TOI.

AHU
J AHU LADIES

CORRIDOR
1822 WIDE
DINING RM DW DW TOI.
PANTRY WASH DRS'
SUPPORT ISOLATION ISOLATION
WASH
FILTER
CHAMBER
RM. RM. STORE

TERRACE
K

DINING RM
NURSES'S DOCTOR'S
SENIOR STAFF
DINING TRAINING TRAINING

DINING RM TRAINING RMS.


19 20 21 22 23 25 26 27 28 29
24

Terrace garden View of dining room CAFÉ JAMJEE

Block D:
 It is basically the board room & administrative areas .
 It has some offices, 3 meeting rooms & area for future expansion.

Waiting area ADMN. AREA


3.2.11 BASEMENT PLAN:

Loading/unloading takes place here. A.C. unit LT Panel room


Access to mortuary.

Block A & B :
Lvl. = - 3.15m
It provides staff parking for about 85 cars & 75 scooters.
PUMP ROOM
Block A also houses the waste disposal storage.
It also has public toilets and a lift lobby.
Block B also has a mortuary and prayer room.
Blocks C & D mainly house the essential services.
Block C : This whole block can be divided into 4 zones : KITCHEN STORAGE
Kitchen storage & dining for staff, Laundry, CSSD & Medical Records,Electrical (Diesel gensets,
EDP- Electronic Data Processing)
Other Services (Biomedical Engineering, Pharmacy, Carpentry workshops)
Kitchen storage & dining for staff
It consists of mainly storage areas, has a receiving bay, a bakery, a confectionery, a cold and
deep freezer, an area for parking and washing trolleys and a special cage lift.
Laundry, CSSD & Medical Records.
Laundry placed next to the CSSD for convenience in sterilizing clean clothes and linen.
The whole area is very efficiently planned for ease of receiving, washing & drying, ironing
with special clean areas & dispatch.
It has 2 dumb waiter lifts that go up to the cardiac OTs

Block D :
It houses the Public Health services, the mechanical services, the building
automation units, HVAC services & the Engineering Dept LAUNDRY
3.2.12 THE FORTIS INN :
•30 well-furnished rooms including suites with attached baths.
• It has two types of floors- standard and executive having their own set of Deluxe, Super Deluxe rooms and
suites.

FORTIS INN DELUXE ROOM INN’S RECEPTION

3.2.13 ELEVATIONAL FEATURES :


• Red Agra stone has been used for external cladding along with Dhaulpur stone strips.
• For curtain wall, blue glass from Belgium along with double insulated glass for windows has been used.
• The glazing induces verticality while the horizontal bands break the verticality thus achieving a balanced
composition.

ALTERNATIVE BAND OF CLADDING AND GLAZING


CURVED FAÇADE OF
BUILDING ADDS TO
PRESPECTIVE AESTHETICS

DHAULPUR STONE

DOUBLE GLASS

BROAD VERTICAL SHAFTS EXPRESES


ITSELF AS HANGING ON CIRCULAR
COLUMN.

3.2.14 STRUCTURAL DETAILS :

• Raft footing has been provided. (Combined footing)


• The grid is a combination of radial and square grid.
• RCC columns of variable sizes.
• Circular columns in basement- 850 mm dia
• On rest of the floors : 700 mm dia.
• Retaining wall 9 inches thick.
3.2.15 CONSTRUCTIONAL DETAILS :

•RCC construction
•First class bricks & AAC blocks used
•As the hospital falls on aviation route, measures have been taken to reduce the sound level
inside the hospital :
o AAC (autoclaved aerated concrete blocks) have been used.
o Acoustic false ceiling tiles have been used.
o For windows double glass has been used
o AAC blocks : 39 x 19 x 30 cms. For outer load bearing walls
o AAC blocks : 39 x 19 x 10 cms. For inner load bearing walls

AAC CONCRETE BLOCK DOUBLE GLASS WINDOWS

3.2.16 FINISHES :

DOORS :
•Two types of doors have been provided. The ones with cedar laminates are for patient entry and the ones
with green laminates are not for patient entry.

TYPES OF FLOORING :
•Public areas : Marble
•Patient areas : Mosaic
• OTs : Granite
• ICUs : PVC
• Radiology : PVC
• Nuclear medicine : PVC
• Public staircases : Marble
• Fire-escape staircases : Kota Stone
• Concrete blocks have been used for pavements.
• Ceramic tiles have been used in various colors and sizes.
• Chemically resistant tiles for labs.
• The interiors have been plastered and painted.
• Prefabricated furniture which is easily portable & movable has been provided.

CEDAR LAMINATES MARBLE GRANITE DADO ON THE WALL OF


CAFÉ JAMJEE
3.2.17 SERVICES:
LAUNDRY
Flow of linen :
Receiving area - Washing & drying section - Flat work ironing - Clean area – Dispatch
Area. SPACE for supervisor to keep watch on the functions, housekeeping.

CSSD
• Fed by dumbwaiters or manually.
• Receiving – Wash – Dry – STERLISATION (STEAM OR GAS) – Packing – Dispatching

2450 WIDE CHEMICAL STORE


CORRIDOR LAUNDRY FOR LAUNDRY
SUMP
LAUNDRY
CSSD CLEAN
UP RECEIVING LAUNDRY WASHING
STERILE STAFF
CSSD AREA
ELE/TEL/DATA

LAUNDRY
/DRYING JAN CH.
ELECTRIC
PANEL WASH AREA RM.
DISPATCH
RM.
AHU SUPERVISOR RECEIVING
LAUNDRY
OFFICE MEDICAL STORE LAUNDRY CSSD
RECP.
CSSD
TROLLEY CSSD
DW DW

RECEIVING CLEAN WASH SUPERVISOR


RECORD ( P&S)
LADIES
CSSD
LAUNDRY AREA DESPATCH
RM. HOUSE
KEEPING
CH.
2450 WIDE
2450 WIDE
CORRIDOR LVL -3.15M CORRIDOR

CH ENGG WORKSHOP
TROLLEY PHARMACY
INCHARGE
CABIN
PARK/WASH
STORE
STORE PANEL
BIO MEDICAL
CONFEC. RM.

Ironing of clothes is done in


Laundry area where washing and
laundry area.
drying of clothes mechanically

CSSD Department

WATER SUPPLY
There are 6 water storage tanks in hospital, which have been, constructed underground:
• Fire- water tanks- 3 nos.: Treated water tanks -2nos. Raw water tanks – 1 no.
• REVERSE OSMOSIS PLANT : For purifying domestic water to fed to special departments like scrub in
OT’s , Dialysis Unit, CSSD, ICU’s.
• SOFT WATER TREATMENT: For reducing hardness of domestic water and to fed to boilers and laundry .
• Raw• water
. is treated ,pumped to elevated storage tanks, distributed to different inlets at different floors.
• Estimate of quantity of water (inc. laundry)= 450 litres per head per day

WATER TANK AND PUMP ROOM IN BASEMENT PUMP ROOM


Major Equipments :

Hydro-pneumatic system:
• Location – Basement, Block B
• Used for supplying hot & cold water to the whole hospital.
Color coding :
• Color of cold water pipe lines is green.
• Hot water lines are insulated with puff and cladded with aluminum sheet
Boilers:
• Location – Basement, Block B
• 5 boilers (600 kg/hr. each) are installed.
• Steam from the boiler is fed to the laundry, kitchen, CSSD etc. for hot water system.
Reverse Osmosis Water Plant:
•Location – Basement, Block B
•It has been installed to produce ultra pure clean water, which is used in scrubs, OTs, Cath labs, ICUs &
CSSD.
Soft water plant :
•Location – Basement, Block B
•Soft water here produced is used for steam boilers.
Calorifier :
•In this water is heated with steam to constantly maintain a temperature of 50 deg. Celsius.

SEWERAGE :
All toilets have shafts adjoining to carry waste disposal pipes and water supply lines.
Soil pipes have been laid to 1:60 slope.
DRAINAGE :
•For basement, sump wells have been provided at intervals where waste water is collected and pumped out to
the manholes.
•Curb inlets are provided at the edges of the roads to drain the water.

STP (Sewage Treatment Plant) : SEWAGE TREATMENT PLANT


• To treat all the waste water and sewage waste, sewage treatment plant has been provided which is located
on the right side of the IPD entrance while facing Emergency.

HVAC (Heat Ventilation & Air Conditioning unit) :


• The whole building is centrally air conditioned with toilets have ventilators opening in shafts.
• Air changes are provided by mechanical means : wards- 3 ch/hr, kitchen – 10 ch/ hr, bathrooms & WCs –
3 ch/hr, OTs – 12 ch/hr.
Procedure :
• Water-cooled chiller has been used.
• Basically the medium is chilled water.
• Pipes take the water to the FCUs ( Fan coil unit) & further to the AHUs ( Air Handling Unit).
• Chilled water comes in contact with the air & cools it.
• Chilled air is then distributed by ducts to diffusers and vents.

SCREW CHILLER
FIRE FIGHTING :

• Fire-resistant construction has been done using AAC blocks ( autoclaved aerated concrete blocks).
• Sprinklers have been provided @ approx. 3000mm depending upon equal
distribution of width of hall available.

Two types of detectors have been used :


o Smoke sensors
o Heat sensor

•In the basement-parking areas: foam extinguishers for controlling oil fires.
•Hose-reels in fire-fighting niches 4’x4’ have been used.
•Public address system & hooters have been placed strategically.
•Fire exit routes with automatic opening type doors have been provided SPRINKLER

HOSE REELS

FIRE PROTECTION
NEAR THE STAIRCASE

ELECTRICAL :

• HT (High Tension) regulators provided to regulate voltage fluctuations with 2


step down transformers.
• In case of power failure diesel generators start automatically. HT PANEL ROOM
• UPS- 2 no. caters to power requirements of the Hospital Information System,
Emergency, lighting of entire hospital & all OTs.
• Color of switches :UPS sockets- gray, normal sockets – white

GENERATOR ROOM

MEDICAL GASES MANIFOLD :

•Location : It is located behind kitchen in the basement right in front of staff


parking entrance.
•The pipe line starts from gas plant & carried out till the last point at the bedside.
•Laid along the walls in GAS MEDICAL ROOM
different colors. Outlets are provided at 4 ft.- 5ft 6in. above floor level.
Color coding of these lines :
•Oxygen : yellow with white bands
•Nitrous oxide : yellow with blue bands
•Compressed air : blue with white bands
•Vacuum : blue with black bands
•AGSS : red (Anesthetic gas scavenging system) COLOUR CODING
3.2.18 INFERENCES:
1. A unique feature of this hospital is its usage of space.
2. Separate entry for OPD, IPD, Emergency and Service zone : thus segregating the traffic flow.
3. A flexible & modular approach imbibed to impart adaptability to the future changes & modifications.
4. The OPD has been kept on the ground and first floor : thus providing easy accessibility for patients and
their attendants.
5. OPD placed next to diagnostic : easy access.
6. The CSSD has been placed below the OT area hence direct connection via dumbwaiters.
7. A very long well-landscaped courtyard has been placed in the centre, thus providing natural light in
corridors.
8. Waiting areas for all OPDs are provided in the form of small clusters.
9. Vertical circulation in the form of stairs and lifts is separate for all blocks.
10. The shafts provided for maintenance are narrow, thus leading to inconvenience.
COMPARATIVE ANALYSIS

ANALYSIS - EXTERIOR
S
.
COMPONENT PIMS(Punjab Institute of Medical FORTIS HEART AND MULTI- ANALYSIS
N S Sciences) , JALANDHAR SPECIALITY HOSPITAL
O

1 Approach to Site can be easily approached Site can be easily approached It’s a huge advantage
.
site by 30M wide Garha Road. by24Mwide Metalled road and for people with the
located inSector 62, Phase VIII, availability of hospital
S.A.S. Nagar, on main highway.
Mohali.
Just 7 km from Chandigarh

2 Accessibility Hospital has Four entrances Hospital has Two entrances Should be a separate
.
(OPD,Emergency,Service,Res (Hospital and Emergency) with no entrance for
idential) but only one is Provision of separate ,visitors and emergency and for
being used. service entrance. services.

3 Parking Sufficient on surface parking for Basement and on surface parking for There should be
.
Doctors,visitors , staff , ambulance staff and doctors sufficient car parking
Separate ambulance parking near as per requirement.
emergency entrance
Visitors and OPD patient parking
is not sufficient.

4 Circulation Circulation is maintained with Circulation is maintained with Very Positive


.
different gates for Entry and exit well –defined road network and traffic Proper and well
as proposed but only one gate is flow within the site defined road networks
being used actually.
There are a few major conflict points
in the campus where the pedestrian
movement and vehicular movement
intersect.

5 Orientation Hospital is south-west facing . The building faces north-east, the north-east, the most
.
most favorable orientation. favorable orientation.
Care has been taken to place the
curved surface of the building out to
that direction to get the maximum
exposure to glare-free light.

6 Landscaping No major landscaping found on site A stepped landscaped courtyard Landscaping in


.
except for Few shrubs and creepers. between the two buildings of the courtyard and all
hospital enabling the patients to look around the building
down on the greenery, not making enabling the patients to
them feel sick seems to be on the get well soon
pattern of Mughal gardens .
Shapes like circular & other
curvilinear forms : Thus providing
harmony & unity at site level.

7 Architectural Modern outfit has been given to the Modern outfit has been given to the Positive
.
style building through straight lines and building through straight lines and
with materials. with materials. use of glass gives the
transparency and play a dominant
role in the elevation.
ANALYSIS - INTERIOR
S COMPONENT PIMS(Punjab Institute of Medical FORTIS HEART AND MULTI- ANALYSIS
.
N S Sciences) , JALANDHAR SPECIALITY HOSPITAL
O

1 Entrance Grand wide entrance porch leads Grand wide entrance porch leads Positive
.
porch to emergency and another to to emergency and another to Directions should be
visitors double height lobby Area Visitors lobby Area. Clear when someone
enters

2 Zoning Adequate connection and Adequate connection and Positive


.
separation between various areas separation between various areas Adequate connection
and separation should
be there.
3 Services Segregated service area from Segregated service area from Positive
.
public and private area public and private area services area to be
(all services are in basement ) (all services are in basement ) given in basement

4 Horizontal Sufficient sitting space in various Swinging doors have been placed Positive
.
circulation zones, for Movement From one at regular intervals in the corridors
area to another. to provide a defined path to user
zones and at the same time to
provide privacy to the various
departments

Sufficient sitting space in various


zones, for Movement From one
area to another.

5 Vertical Emergency exit provided. Ramp No provision of ramp other all Proper Emergency exit
.
circulation provision. facilities are provided To be provided with
Separate patients , staff , visitors Separate patients ,
lifts. staff , visitors lifts.
Separate entrance/exit for
Employees

6 Light & Proper natural lightening to all Proper natural lightening to all Positive
.
Ventilation rooms, departments. rooms , departments. Courtyard planning
Preferred.

7 Fire escape Thirteen fire escape staircase are Four fire escape staircase are adequate accessibility
.
provided with easily accessible provided with easily accessible. to the fire escape
Fire exit routes with automatic
opening type doors have been
provided

8 Patients Room Rooms ,wards with are with all Rooms ,wards with are with all Positive
planning basic facilities basic facilities basic facilities to be
Like washrooms, sitting area Like washrooms, lcd , sitting area provided
for visitors , etc for visitors , etc

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